- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $22,908.68 / $38,904.51
| Facility | | $11,220.18 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $56,234.13
| Facility | | $6,165.95 | $21,379.62 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $21,877.62 / $33,113.11
| Facility | | $12,882.50 | $21,877.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $20,892.96 / $56,234.13
| Facility | | $6,165.95 | $20,892.96 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $56,234.13
| Facility | | $6,165.95 | $21,379.62 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $16,982.44 / $48,977.88
| Facility | | $6,165.95 | $16,982.44 | $48,977.88 |